ABUNDANT GRACE WELLNESS, LLC
NPI 1962092114
Nurse Practitioner - Adult Health in Charleston, SC

NPI Status: Active since January 21, 2021

Contact Information

2045 MAYBANK HWY
CHARLESTON, SC
ZIP 29412
Phone: (843) 801-0861
Fax: (843) 768-1473

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  • Organization
  • Nurse Practitioner
  • Adult Health
  • Accepts Insurance

About ABUNDANT GRACE WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Abundant Grace Wellness, Llc, a provider established in Charleston, South Carolina operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1962092114 assigned on January 2021. The practitioner's primary taxonomy code is 363LA2200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Abundant Grace Wellness, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Gloria Katherine Wilson Aprn (Authorized Official/provider)

NPI
1962092114
Provider Name
ABUNDANT GRACE WELLNESS, LLC
Entity Type
Organization
Location Address
2045 MAYBANK HWY CHARLESTON, SC 29412
Location Phone
(843) 801-0861
Location Fax
(843) 768-1473
Mailing Address
2414 RACQUET CLUB DRIVE JOHNS ISLAND, SC 29455
Mailing Phone
(843) 801-0861
Mailing Fax
(843) 768-1473
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-21-2021
Last Update Date
09-14-2023
Code Navigator

A nurse practitioner (NP) like Abundant Grace Wellness, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LC1500XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Community Health

 
2363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GLORIA KATHERINE WILSON APRN

Authorized Official Title
AUTHORIZED OFFICIAL/PROVIDER
Authorized Official Phone
(843) 801-0861

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
18678OTHER (01)SCSTATE LICENSE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962092114, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 0 + 9 + 4 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1962092114.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
2045 MAYBANK HWY
CHARLESTON, SC 29412
Social Worker
2045 MAYBANK HWY
CHARLESTON, SC 29412

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962092114, enumerated as an "organization" on January 21, 2021.

The provider is located at 2045 MAYBANK HWY CHARLESTON, SC 29412 and the phone number is (843) 801-0861.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.